NPI 1083023212

Cody Daniel Jones, SUBMARINEIDC

Practitioner Independent Duty Corpsman Riverside, RI

Practice location

Address: 112 Elder Ave, Riverside, RI 02915-3756
Phone: (774) 488-4407

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Rhode Island →

Registry record

NPI: 1083023212
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2014
Record last updated: 13 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.